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Friday, June 14, 2019

SPMS Part Two: Treating Secondary Progressive MS. This video is the 2nd in a two part masters class SPMS. If you're ready to learn how we TREAT SPMS, then start watching this vid right now! (And ensure you've already watched part one, link below).
COMMENT with your thoughts and questions below! I look forward to reading and responding!
SHARE SPMS Part One: https://youtu.be/KcRWaOjOL2I

In this video I (Aaron Boster, MD) share the most rare and uncommon #MultipleSclerosis symptoms I've seen in clinical practice. Want to hear about the 8 most unusual #MS symptoms I've seen, then start watching this ideo RIGHT NOW!

Tuesday, June 11, 2019

Sophie McConnell28 May 2019Dr Jonathan White explains the results of two separate studies which looked at treatment of people over the age of 53.

In November 2017, a large-scale study was published that caused major concern and confusion amongst the MS community (1). From a meta-analysis of more than 28,000 people with MS (pwMS) taking a disease modifying treatment (DMT), researchers concluded that “after age 53…there is no predicted benefit to receiving immunomodulatory DMTs for the average MS patient

Almost immediately, OMS forums and enquiries (and I imagine Neurologists’ offices) filled with people asking questions like

“I’m 55, does that mean I should just stop my medication tomorrow?”

It remains a difficult question to answer when applied to “the real-world” person with MS (pwMS), many of whom had been taking, and remained well on medication for a lengthy period of time. It is extremely important then, that both pwMS and clinicians have as much information as possible to allow for informed decision making.

Another perspective

A new paper may add a very valuable perspective to this particular problem (2). Published in “Multiple Sclerosis and Related Disorders”, a team from the United States looked at pwMS over 60, and whether stopping or continuing their medications had any impact on various health-related outcomes.

This was a retrospective, observational study (looking back at results already obtained rather than setting up a new study and testing a particular intervention) including 600 pwMS who were 60 years of age or older and had been on a DMT for 2 years or more.

The researchers focused on patient reported outcomes (PROs) and timed 25-foot walk (T25FW) test as their key outcome measures. In simple terms, they asked the people involved a series of standardised questions to gain an understanding of their level of functioning or disability (including mobility, fatigue, cognition, bowel and bladder function, spasticity, hand function, vision and sensation) and other measures such as pain scores and levels of anxiety and depression. They then objectively measured how long it took the pwMS to walk 25 feet.

Relapse symptoms can vary in type and intensity. Sudden or worsening weakness or tingling, double vision, and dizziness are common.

Here's what you need to know..

When you experience a multiple sclerosis relapse (also known as an exacerbation or flare-up), it's because new damage in the brain or spinal cord disrupts nerve signals. That's why you might notice new symptoms or the return of old symptoms. A true relapse lasts more than 24 hours and happens at least 30 days after any previous relapses. Relapses vary in length, severity, and symptoms. Over time, symptoms should improve. Many people recover from their relapses without treatment.

Damage to the protective covering of nerve fibers interrupts normal signals from the brain to the body. When those signals are disrupted, your body doesn't function ike it once did. Things you did easily before can seem difficult -- like opening a jar or turning a doorknob. Sudden or worsening weakness that doesn't go away could mean you're having a relapse.continue reading

Walking and Multiple Sclerosis: If you have questions about walking and Multiple Sclerosis, then watch this lecture! OhioHealthMS center's Jessica Petitti PT, DPT and Lauren Esposito PT, DPT, (both brilliant neuro physical therapists) who work with Dr. Boster are featured. They lectured on gait mechanics in MS during our OhioHealth MS CME 3/2019! This lecture was recorded live and delivered to an audience of MS providers. I think the content is valuable for anyone impacted by MS. Please check it out!

SYMPTOMS of MS

In multiple sclerosis , damage to the myelin in the central nervous system (CNS), and to the nerve fibers themselves, interferes with the transmission of nerve signals between the brain and spinal cord and other parts of the body. This disruption of nerve signals produces the primary symptoms of MS, which vary depending on where the damage has occurred.

Over the course of the disease, some symptoms will come and go, while others may be more lasting.

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A web-blog (formerly known as Stu's Views and MS News), now published by MS Views and News, a patient advocacy organization. The information on this blog helps to Empower those affected by Multiple Sclerosis globally, with education, information, news and community resources.

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"Stu's Views & MS News" / 'MS Views and News' DOES NOT endorse any products or services found on this blog. It is up to you to seek advice from your healthcare provider. The intent of this blog is to provide information on various medical conditions, medications, treatments, and procedures for your personal knowledge and to keep you informed of current health-related issues. It is not intended to be complete or exhaustive, nor is it a substitute for the advice of your physician. Should you or your family members have any specific medical problem, seek medical care promptly

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